2012 User Comparative Database Report

Table D-6. Trending: Item-Level Average Percent Positive Response by Staff Position

Survey Items by Composite Database
Year
Staff Position
Admin/
Mgmt
Attending/
Physician/
Resident/
PA or
NP
Dietitian Pat. Care
Asst/
Aide/
Care
Partner
Pharm-
acist
RN/
LVN/
LPN
Tech
(EKG, Lab,
Radiol)
Therapist
(Respir,
Phys,
Occup,
Speech)
Unit
Asst/
Clerk/
Secretary
# Hospitals Both Years 539 259 82 430 239 637 504 447 504
# Respondents Most Recent 26,025 17,836 942 16,746 4,525 116,413 33,120 14,089 20,964
Previous 23,291 17,287 972 16,268 3,727 102,902 27,402 12,509 16,846
1. Teamwork Within Units
A1. People support one another in this unit. Most Recent 94% 90% 87% 80% 84% 87% 82% 90% 83%
Previous 93% 86% 89% 79% 84% 87% 82% 89% 83%
Change 1% 4% -2% 1% 0% 0% 0% 1% 0%
A3. When a lot of work needs to be done quickly, we work together as a team to get the work done. Most Recent 94% 86% 88% 78% 82% 87% 85% 89% 84%
Previous 93% 85% 87% 77% 82% 86% 84% 88% 84%
Change 1% 1% 1% 1% 0% 1% 1% 1% 0%
A4. In this unit, people treat each other with respect. Most Recent 89% 87% 82% 72% 78% 79% 74% 84% 75%
Previous 88% 83% 83% 71% 77% 79% 73% 83% 75%
Change 1% 4% -1% 1% 1% 0% 1% 1% 0%
A11. When one area in this unit gets really busy, others help out. Most Recent 79% 71% 77% 66% 66% 69% 66% 77% 70%
Previous 78% 68% 75% 63% 67% 68% 65% 75% 67%
Change 1% 3% 2% 3% -1% 1% 1% 2% 3%
2. Supervisor/Manager Expectations & Actions Promoting Patient Safety
B1. My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures. Most Recent 86% 70% 79% 73% 69% 72% 70% 76% 76%
Previous 85% 69% 78% 71% 69% 71% 69% 76% 74%
Change 1% 1% 1% 2% 0% 1% 1% 0% 2%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 89% 77% 83% 76% 77% 75% 74% 81% 77%
Previous 89% 75% 84% 73% 76% 74% 74% 81% 77%
Change 0% 2% -1% 3% 1% 1% 0% 0% 0%
B3R. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 84% 69% 73% 75% 76% 72% 76% 77% 76%
Previous 84% 68% 73% 72% 75% 72% 75% 76% 75%
Change 0% 1% 0% 3% 1% 0% 1% 1% 1%
B4R. My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 85% 74% 79% 74% 77% 76% 76% 80% 78%
Previous 85% 74% 79% 73% 76% 75% 76% 79% 76%
Change 0% 0% 0% 1% 1% 1% 0% 1% 2%
3. Org Learning—Continuous Improvement
A6. We are actively doing things to improve patient safety. Most Recent 90% 84% 85% 87% 87% 85% 83% 86% 83%
Previous 90% 84% 85% 85% 85% 84% 83% 84% 83%
Change 0% 0% 0% 2% 2% 1% 0% 2% 0%
A9. Mistakes have led to positive changes here. Most Recent 81% 68% 63% 63% 77% 63% 64% 62% 63%
Previous 80% 67% 63% 60% 76% 62% 63% 59% 61%
Change 1% 1% 0% 3% 1% 1% 1% 3% 2%
A13. After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 80% 63% 71% 76% 62% 71% 67% 71% 71%
Previous 78% 63% 70% 74% 59% 70% 66% 69% 70%
Change 2% 0% 1% 2% 3% 1% 1% 2% 1%
4. Management Support for Patient Safety
F1. Hospital mgmt provides a work climate that promotes patient safety. Most Recent 91% 79% 87% 83% 73% 75% 83% 84% 85%
Previous 90% 80% 86% 82% 73% 75% 82% 83% 84%
Change 1% -1% 1% 1% 0% 0% 1% 1% 1%
F8. The actions of hospital mgmt show that patient safety is a top priority. Most Recent 88% 74% 82% 79% 71% 70% 76% 77% 80%
Previous 86% 73% 82% 76% 72% 69% 75% 74% 77%
Change 2% 1% 0% 3% -1% 1% 1% 3% 3%
F9R. Hospital mgmt seems interested in patient safety only after an adverse event happens. Most Recent 78% 61% 64% 60% 58% 57% 61% 62% 65%
Previous 75% 58% 62% 59% 55% 57% 59% 61% 63%
Change 3% 3% 2% 1% 3% 0% 2% 1% 2%
5. Overall Perceptions of Patient Safety
A10R. It is just by chance that more serious mistakes don't happen around here. Most Recent 74% 67% 65% 54% 59% 62% 66% 71% 60%
Previous 73% 64% 63% 53% 58% 61% 64% 69% 60%
Change 1% 3% 2% 1% 1% 1% 2% 2% 0%
A15. Patient safety is never sacrificed to get more work done. Most Recent 75% 62% 69% 66% 54% 57% 71% 70% 71%
Previous 73% 64% 62% 65% 52% 57% 70% 67% 70%
Change 2% -2% 7% 1% 2% 0% 1% 3% 1%
A17R. We have patient safety problems in this unit. Most Recent 75% 63% 68% 63% 56% 58% 72% 73% 69%
Previous 72% 61% 62% 61% 53% 58% 70% 70% 67%
Change 3% 2% 6% 2% 3% 0% 2% 3% 2%
A18. Our procedures and systems are good at preventing errors from happening. Most Recent 80% 72% 73% 74% 69% 70% 77% 77% 74%
Previous 79% 71% 71% 72% 68% 69% 76% 74% 73%
Change 1% 1% 2% 2% 1% 1% 1% 3% 1%
6. Feedback & Communication About Error
C1. We are given feedback about changes put into place based on event reports. Most Recent 72% 52% 59% 63% 55% 55% 55% 60% 61%
Previous 70% 52% 61% 58% 52% 54% 54% 59% 59%
Change 2% 0% -2% 5% 3% 1% 1% 1% 2%
C3. We are informed about errors that happen in this unit. Most Recent 80% 59% 67% 71% 65% 60% 67% 67% 71%
Previous 78% 59% 66% 67% 64% 59% 67% 66% 69%
Change 2% 0% 1% 4% 1% 1% 0% 1% 2%
C5. In this unit, we discuss ways to prevent errors from happening again. Most Recent 86% 70% 75% 74% 71% 69% 71% 74% 74%
Previous 85% 69% 72% 71% 69% 68% 70% 73% 73%
Change 1% 1% 3% 3% 2% 1% 1% 1% 1%
7. Frequency of Events Reported
D1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? Most Recent 66% 49% 51% 66% 39% 54% 58% 54% 65%
Previous 63% 49% 54% 65% 35% 53% 57% 52% 62%
Change 3% 0% -3% 1% 4% 1% 1% 2% 3%
D2. When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 66% 48% 49% 64% 47% 61% 59% 53% 64%
Previous 66% 48% 51% 62% 45% 60% 57% 51% 61%
Change 0% 0% -2% 2% 2% 1% 2% 2% 3%
D3. When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 81% 68% 67% 75% 70% 76% 75% 71% 76%
Previous 81% 67% 70% 73% 68% 75% 74% 68% 75%
Change 0% 1% -3% 2% 2% 1% 1% 3% 1%
8. Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 85% 73% 78% 73% 73% 75% 75% 81% 76%
Previous 84% 73% 74% 73% 73% 74% 75% 80% 76%
Change 1% 0% 4% 0% 0% 1% 0% 1% 0%
C4. Staff feel free to question the decisions or actions of those with more authority. Most Recent 70% 57% 51% 42% 51% 45% 43% 52% 44%
Previous 69% 54% 50% 40% 52% 45% 43% 52% 44%
Change 1% 3% 1% 2% -1% 0% 0% 0% 0%
C6R. Staff are afraid to ask questions when something does not seem right. Most Recent 75% 64% 65% 58% 68% 62% 63% 68% 61%
Previous 74% 63% 65% 57% 66% 62% 61% 68% 63%
Change 1% 1% 0% 1% 2% 0% 2% 0% -2%
9. Teamwork Across Units
F2R. Hospital units do not coordinate well with each other. Most Recent 58% 46% 50% 47% 38% 44% 43% 48% 47%
Previous 54% 44% 47% 44% 38% 43% 41% 48% 47%
Change 4% 2% 3% 3% 0% 1% 2% 0% 0%
F4. There is good cooperation among hospital units that need to work together. Most Recent 71% 62% 65% 62% 50% 57% 58% 63% 61%
Previous 67% 59% 67% 58% 49% 56% 56% 61% 60%
Change 4% 3% -2% 4% 1% 1% 2% 2% 1%
F6R. It is often unpleasant to work with staff from other hospital units. Most Recent 67% 64% 62% 59% 58% 60% 55% 66% 58%
Previous 64% 61% 64% 56% 56% 59% 53% 64% 58%
Change 3% 3% -2% 3% 2% 1% 2% 2% 0%
F10. Hospital units work well together to provide the best care for patients. Most Recent 77% 68% 73% 72% 60% 66% 67% 72% 71%
Previous 75% 66% 71% 69% 60% 65% 66% 69% 70%
Change 2% 2% 2% 3% 0% 1% 1% 3% 1%
10. Staffing
A2. We have enough staff to handle the workload. Most Recent 69% 55% 58% 46% 47% 56% 56% 57% 54%
Previous 69% 55% 51% 44% 47% 54% 54% 56% 53%
Change 0% 0% 7% 2% 0% 2% 2% 1% 1%
A5R. Staff in this unit work longer hours than is best for patient care. Most Recent 59% 49% 52% 45% 59% 56% 58% 59% 50%
Previous 59% 49% 48% 45% 59% 55% 56% 58% 50%
Change 0% 0% 4% 0% 0% 1% 2% 1% 0%
A7R. We use more agency/temporary staff than is best for patient care. Most Recent 72% 62% 65% 63% 72% 75% 71% 74% 64%
Previous 72% 59% 58% 62% 72% 72% 69% 71% 63%
Change 0% 3% 7% 1% 0% 3% 2% 3% 1%
A14R. We work in "crisis mode" trying to do too much, too quickly. Most Recent 58% 52% 53% 47% 42% 49% 51% 57% 52%
Previous 57% 51% 49% 46% 41% 46% 49% 56% 50%
Change 1% 1% 4% 1% 1% 3% 2% 1% 2%
11. Handoffs & Transitions
F3R. Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 44% 40% 36% 47% 19% 43% 36% 37% 44%
Previous 43% 39% 32% 45% 17% 42% 34% 35% 43%
Change 1% 1% 4% 2% 2% 1% 2% 2% 1%
F5R. Important patient care information is often lost during shift changes. Most Recent 53% 47% 40% 58% 33% 55% 47% 47% 51%
Previous 52% 47% 36% 56% 33% 54% 45% 45% 51%
Change 1% 0% 4% 2% 0% 1% 2% 2% 0%
F7R. Problems often occur in the exchange of information across hospital units. Most Recent 47% 44% 36% 47% 28% 46% 40% 43% 45%
Previous 46% 42% 37% 43% 27% 45% 37% 41% 45%
Change 1% 2% -1% 4% 1% 1% 3% 2% 0%
F11R. Shift changes are problematic for patients in this hospital. Most Recent 48% 40% 38% 49% 30% 49% 41% 42% 44%
Previous 46% 39% 33% 45% 31% 48% 39% 41% 42%
Change 2% 1% 5% 4% -1% 1% 2% 1% 2%
12. Nonpunitive Response to Error
A8R. Staff feel like their mistakes are held against them. Most Recent 69% 47% 55% 43% 57% 50% 47% 57% 46%
Previous 68% 47% 57% 41% 58% 50% 46% 57% 47%
Change 1% 0% -2% 2% -1% 0% 1% 0% -1%
A12R. When an event is reported, it feels like the person is being written up, not the problem. Most Recent 70% 45% 47% 37% 57% 48% 44% 53% 42%
Previous 67% 43% 49% 36% 57% 47% 41% 52% 41%
Change 3% 2% -2% 1% 0% 1% 3% 1% 1%
A16R. Staff worry that mistakes they make are kept in their personnel file. Most Recent 51% 33% 37% 28% 43% 35% 33% 44% 32%
Previous 48% 31% 42% 27% 41% 34% 31% 44% 31%
Change 3% 2% -5% 1% 2% 1% 2% 0% 1%

Note: The item's survey location is shown to the left. An "R" indicates a negatively worded item, where the percent positive response is based on those who responded "Strongly disagree" or "Disagree," or "Never" or "Rarely" (depending on the response category used for the item).

Return to Appendix D

Page last reviewed December 2012
Internet Citation: Table D-6. Trending: Item-Level Average Percent Positive Response by Staff Position. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2012/hosp12tabd6.html